Presenter:Aristo Sham
Listen to #Hashtag Hong Kong every Sunday morning at 8.15
Focusing on issues affecting civil society, we'll hear from representatives of NGOs, associations, statutory bodies, and non-profit groups.
(Sundays 8.15am - 8.25am)
Good morning, welcome to #Hashtag Hong Kong. As a clinical psychologist at the Mental Health Association of Hong Kong - which is a non-profit association dedicated to mental health awareness and services - I would like to shine a spotlight on a condition that affects many but is often misunderstood: psychosis.
Let me start with a brief introduction about this condition. Psychosis is a mental health condition characterized by a disconnection from reality. People experiencing psychosis may have difficulty differentiating what is real from what is not real. This can manifest through symptoms such as hallucinations. For example, you are seeing things or hearing things that aren’t there, and delusions – you are having strong beliefs that are not based in reality.
According to global estimates, approximately 3 in 100 people will experience psychosis at some point in their lives. It can occur at any age but is most commonly diagnosed in late adolescence to early adulthood. While it’s less common than other mental health conditions such as depression and anxiety, psychoeducation about psychosis and early intervention are crucial.
In general, symptoms can be categorized into positive symptoms and negative symptoms. Positive symptoms happen when a person is experiencing additional things that are originally not there. For example like delusional thoughts like somebody is spying on me or you are the president of a country, or having different types of hallucinations that pertain to our senses like auditory, visual and tactile. Or you may have disorganized speech and abnormal motor behaviors such as agitated movements or repetitive actions. On the other hand, negative symptoms refer to the absence or reduction of normal behaviors. For example like having flat affect, limited facial expressions, limited speech, changes in mood, lack of motivation, or lack of desire to engage in social activities.
Treatment typically involves a combination of antipsychotic medications, psychotherapy, and also psychosocial support groups. Early intervention is key—it can significantly improve outcomes. Psychotherapy such as Cognitive-behavioral therapy or we call CBT tailored for psychosis can help individuals to manage symptoms and to develop coping strategies. Support groups and community resources also play a vital role in recovery. There are a lot support groups tailored for individuals struggling with psychosis to target social skills improvement, self-care skills and independent living skills. The goal is to help them in skills building to decrease the functional impairments caused by psychosis, and hence resume a normal life and integrate back to the society.
On a personal level, I’ll say it’s crucial for individuals to maintain a structured daily routine, and to stay connected with supportive friends and family, and also follow with your treatment plans including medications and psychotherapy. It’s also important to explore interests and activities that bring you joy and purpose and to stay engaged with people around you.
I once had a client who’s been struggling with psychosis for over 10 years that he would cover his left ear whenever he hears voices. With proper treatment and skills building, he’s able to differentiate reality with his auditory hallucinations, so that he’s not being responsive or reactive to the voices, even if the voices are still there with him. Once he has become more stable with his symptoms, we started taking him to do volunteer work in the community where he would help dispatching lunch boxes to the homeless population. That volunteer work gave him opportunities to reconnect to people, to the community and also built a sense of accomplishment in him. Ultimately he’s able to live a fulfilling life despite his diagnosis.
I want to emphasize that psychosis is a treatable condition. If you or someone you know is experiencing symptoms, seeking help early can make a significant difference. Recovery is a journey, increasing awareness and reducing stigma are important steps to make sure everybody gets the right support they need. Last but not least, remember your mental health is just as important as your physical health, and no one should face these challenges alone.
Thank you so much for tuning in today and hope together we can build a more informed and supportive community.

Presenter:Aristo Sham
The overwhelming response to my win at the Van Cliburn International Piano Competition from Hong Kong, practically immediately, could not have been in anyone’s imagination; requests for interviews came in while I was strutting up the stairs up towards the stage. I cannot think of another society in the world where the response would be anywhere close, or in such a dignified manner. This is such a gift, and a gratifying reminder of the fortune of being from Hong Kong; the ability to share in the joy and celebration of the achievement of one of our own – this should really be a source of pride for all of us – an illustration of some of the great qualities we can share as a society, and a great example of the values we can seek to attain in our outlook as a society.
I was born in Hong Kong and started learning piano at the age of 3; my mother taught piano at home, and as a toddler I showed great curiosity towards the instrument, almost like a toy, so at age 3 my mother finally gave in and decided to let me try having lessons. My mother noticed that I picked up musical concepts and ideas quicker than usual, and so at the age of 6 she thought I should audition at the Hong Kong Academy of Performing Arts, to which I was accepted, and there began the next phase of my musical life.
I was living and studying in Hong Kong until the age of 14, and in this period, I enjoyed successes in several international competitions, leading to gaining the moniker “prodigy”, for which I never had particularly strong feelings, and most definitely not how I would describe myself. As I am characteristically restless and curious, I have always craved new experiences and new sensations, leading me to want to discover a new way of life and a different culture in the UK at the age of 14, followed by the US at the age of 19. Since I was swept by the currents of life and never actively decided to pursue music as a child, during my teenage years I was adamant about leading a balanced and varied life – I went to a normal academic high school, and entered the dual-degree programme at Harvard and New England Conservatory. It was not until when I was 21 years old, when I decided to fully dedicate myself to music.
Just as I believe in an all-rounded education and the understanding of as much as possible of the world around us, I have enjoyed a broad education in piano and in music, as my teachers come from many different traditions (French, Viennese, German, Russian etc.), with different perspectives on building musical language and technique. The knowledge of all these aspects allows me to choose and combine, often subconsciously, the avenue of expression that best suits every piece and every moment in performance.
I think, and hope, my signature as an artist lies in my breadth of experiences and knowledge about the various aspects of the world and of life; at Harvard my degree was nominally in economics – it was more liberal arts, as I took courses in all sorts of disciplines, including history, languages, politics, sciences, arts, to name a few. As I decided to pursue a career in music, my interests and curiosities remain panoramic – I constantly travel to new destinations, study new languages, learn about different cultures, read texts on different subjects.
With languages and travel, I seek to understand different cultures and the logic embedded within – the way of thinking in each culture, or locale, is always different, and there is always a pathway by which we can learn from, why a certain idea leads to the next. This is striking in its similarity to the consequential nature of logic and communication in music, which is equally rich and varied. As a Hongkonger, I cannot not be also incredibly inspired by experiences in food and wine; just as we create unique and memorable experiences in music, there is a lot of artistic expression in food and wine that push the boundaries of what intensity and finesse we can feel.
I credit the cultural breadth that I enjoyed during my formative years in Hong Kong, for the foundation of my holistic and curious self throughout life. In the same vein, I always carry a piece of Hong Kong with me – the uncanny ability to learn and adjust to all sorts of environments and situations; the capacity to absorb stimuli attacking us from all directions and make something of it, hopefully better; and of course, the relentless drive for perfectionism in all that we do. In the end, since music and all art is a reflection of life and of the world in its essence, I believe my interest and understanding in different areas allows me to better express and connect with audiences around the world.
I love life in all its flavours; perhaps not in the moment, but I hold a dear appreciation to everything that I have ever learnt, delved into, or brushed past. Joy, sadness, agony, frustration, exaltation – they are all teachers that make life fulfilling and the experience of life richer.
Hongkongers can be terribly goal and results-oriented, often to the point where the pursuit of results takes over any larger purpose or ideal. Winning one of the most important prizes for me was not a goal whatsoever, it is only a platform by which I could take on an overarching purpose, which at the end of the day, is to have the opportunity to share my love and beliefs in music, and hopefully to create experiences that people cannot have otherwise and ones that they will take with them for a long time.
A lot of people would say that I am ‘successful’; this isn’t something that matters to me, or something that should matter at all in the larger picture. Such successes on paper are never fulfilling nor make our lives fuller or happier. I must also note that such milestones usually occur only with a larger purpose or calling in the picture; of course we should celebrate the wins on the way, but deep down what we truly crave is the opportunity to open doors to create new paths in our lives. At the moment, I am endlessly grateful for the opportunity, and I am currently making the most out of this exciting ride!
My wish for Hong Kong and her people is that we would look more deeply within ourselves all the time, reflect upon everything that comes our way, and search for what is it that we really want for ourselves, what is it that we think will be of positive impact to this world. It is so easy to let the hamster wheel of life take over our every cell and our every thought, but I believe we must be purposeful and intentional in our path, so that we live a life filled with meaning, both externally and internally.
It doesn’t matter if we change the world, or make the life of one person a more fulfilling or comfortable existence – if we have brought joy or have been a positive force to anything or anyone, then we will have achieved something meaningful.
And the song I'd like to dedicate to our listeners is Places by The Blaze.
It's one of these songs that I listen to on planes and trains very often. And I love the feeling of movement and of journeying, also tinged with nostalgia, which is very much the feeling I get when I move between places and have fond memories of the place and people that I just left and I think the song captures that a lot and this is a feeling that I feel very often because of how much I travel and I think it's such a delicious feeling tinged with melancholy but also yearning for both the past and the future.